Publication - Transparency data

NHS Scotland performance against LDP standards

Published: 18 Dec 2019

Performance data on the current Local Delivery Plan (LDP) Standards - priorities set and agreed between the Scottish Government and NHS Boards to provide assurance on NHS Scotland performance. 

Contents
NHS Scotland performance against LDP standards
18 weeks referral to treatment

LDP Standard

90% of planned / elective patients to commence treatment within 18 weeks of referral.

Current national performance

In June 2020, 77.8% of patients were reported as commencing treatment within 18 weeks.

About this LDP standard

Shorter waits can lead to earlier diagnosis and better outcomes for many patients as well as reducing unnecessary worry and uncertainty for patients and their relatives. It also reduces inequalities by addressing variations in waiting times between NHS Boards or individual hospitals. Shorter waiting times will have a positive impact on the health of the patient, but in the long-term may result in some positive impact on all businesses, as key workers who are absent from the work due to illness may be treated earlier and will therefore be able to return to the workplace earlier.

Performance against this standard

The standard for delivery is for 90% of patients to wait no longer than 18 weeks from referral to treatment.

The data published on 25 August 2020 covers performance against the waiting time standards for the overarching Referral to Treatment (RTT), first Outpatient appointments, eight key diagnostic tests and Treatment Time Guarantee (TTG) for the quarter ending 30 June 2020.  At the outset of the current COVID-19 pandemic NHS Board were asked to scale down all non-urgent elective treatment while maintaining a full cancer and urgent care service.  In these circumstances all non-urgent outpatient and inpatient/day case activity was paused for the initial period of the pandemic.  Consequently the continued recording of data against these targets and standards has been impacted by this requirement. 

In June 2020, 77.8% of patient journeys for which an 18 weeks Referral to Treatment waiting time could be measured were reported as being seen within the stated time.

To be able to calculate a patient’s waiting time it is necessary for NHS Boards to link all stages of the patient’s journey from the initial referral to the start of treatment. In June 2020, the waiting time could be measured for 84.5% of patient journeys. NHS Boards are in the process of fully implementing upgrades to their systems to improve data collection.

The graph below shows the percentage of patient journeys completed within 18 weeks since April 2015.

NHS Board level performance is shown for the most recent time period in the table below.

The table below shows the percentage of patients journeys completed within 18 weeks, by NHS Board, for June 2020.

NHS Board

June 2020

NHS AYRSHIRE & ARRAN*

 78.3%

NHS BORDERS

 90.1%

NHS DUMFRIES & GALLOWAY

 87.7%

NHS FIFE

 80.1%

NHS FORTH VALLEY

 68.7%

NHS GRAMPIAN

     -

NHS GREATER GLASGOW & CLYDE

 78.2%

NHS HIGHLAND

 64.3%

NHS LANARKSHIRE

 86.2%

NHS LOTHIAN

 78.1%

NHS ORKNEY

 94.6%

NHS SHETLAND

 82.8%

NHS TAYSIDE

 79.0%

NHS WESTERN ISLES

 90.4%

NHS NATIONAL WAITING TIMES CENTRE

 87.4%

NHSSCOTLAND

 77.8%

Source: ISD 18 weeks RTT data submission

* NHS Ayrshire & Arran data for July 2017 to June 2020 contain estimates for this measure. These estimates are deemed statistically robust by ISD.

* NHS Grampian have not been able to provide data for March 2020 to June 2020.

Further information

18 weeks: The Referral to Treatment Standard (The official project initiation document)

Waiting Times statistics

18 Weeks RTT

Waiting Times Improvement Plan

Related National Outcomes

Page updated: 26 August 2020.